How to be a successful resident researcher
This presentation is the property of its rightful owner.
Sponsored Links
1 / 53

How to be a Successful Resident Researcher PowerPoint PPT Presentation


  • 78 Views
  • Uploaded on
  • Presentation posted in: General

CORE Aug 6 2008. How to be a Successful Resident Researcher. Achilleas Thoma , MD, MSc , FRCSC Division of Plastic Surgery Surgical Outcomes Research Centre Department of Clinical Epidemiology and Biostatistics. Learning Objectives. The process of pairing with a supervisor

Download Presentation

How to be a Successful Resident Researcher

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


How to be a successful resident researcher

CORE Aug 6 2008

How to be a Successful Resident Researcher

AchilleasThoma, MD, MSc, FRCSC

Division of Plastic Surgery

Surgical Outcomes Research Centre

Department of Clinical Epidemiology and Biostatistics


Learning objectives

Learning Objectives

  • The process of pairing with a supervisor

  • How to start your research project

  • Determining a timeline for project completion

  • Tips that help keep things on track


Why do research

Resident

Why do Research?

  • Because it is a requirement for your program

  • Resident research day is fast approaching and you are expected to present

  • You want publications to build your CV


Why do research1

Resident

Why do Research?

  • You have the passion to improve your knowledge

  • You want to apply for a MSc or PhD program through the Clinical Investigator Program or HRM Program

  • You have the passion for scientific inquiry and to advance your specialty


Types of residents

Resident

Types of Residents

  • “Talkers”

  • “Doers”

    Which are YOU?


Resident research productivity

Resident

Resident Research Productivity

  • “Talkers” have no publications by the time they have completed their residency program

  • “Doers” will have published at least 1 article / year in their residency program and will have presented their work at their national society meetings


Prerequisites for success

Resident

Prerequisites for Success

  • Passion

    The emotion of feeling very strongly about a subject

  • Initiative

    The ability and tendency to initiate: to start an action and maintain momentum on the project


1 the process of pairing with a supervisor

1. The Process of Pairing with a Supervisor


Finding your supervisor

1. Supervisor

Finding Your Supervisor

  • Match your research interests with supervisor expertise

  • Do some “detective work” on the supervisor

  • Read the supervisor’s publications and be familiar with his/her work

  • Ask if she/he available to meet with you after 5 pm / the weekends


Expectations for supervisor

1. Supervisor

Expectations for Supervisor

  • Supervisor is available to meet in the off hours (i.e. after 5pm / weekends)

  • Supervisor has done some research

  • Supervisor is willing to provide timely feedback and guidance on the research project

  • Supervisor is willing to devote the time and energy to assist you


Expectations for resident

1. Supervisor

Expectations for Resident

  • Be a “doer” rather than a “talker”

  • Resident initiates weekly meetings and gives progress reports on his/her research project

  • Keeps minutes of discussions and action plan after every meeting and gives copy to supervisor

  • Knows the basics of research designs


Roles of a supervisor

Roles of a Supervisor

Resources

Opportunities

Advice

Protection

1. Supervisor


Resources

Resources

Office space and supplies (e.g. photocopying, internet access)

Secretarial and administrative support

Financial support to attend meetings, conferences, courses

Research coordinator support

1. Supervisor


Opportunities

Opportunities

Join ongoing research projects

Help review manuscripts and grant applications

Attend meetings

Learn about Research Ethics Review Committees

1. Supervisor


Advice

Advice

Methodological challenges of project

Pros and cons of working with particular collaborators

Time management

1. Supervisor


Protection

Protection

Opportunities to practice presentations and defend your conclusions in a friendly atmosphere, before presenting at a national meeting.

1. Supervisor


2 how to start your research project

2. How to Start your Research Project


Starting your research project

2. Organizing Research

Starting your Research Project

  • Is the question you are trying to answer in your research project clinically important or trivial?

  • Distinction between the trivial and important questions is not that easy…

    the answer lies in scholarship


Reasons to pursue a research question

Reasons to Pursue a Research Question

Intervention is novel

Intervention consumes large health care resources

Controversy on the effectiveness of the novel procedure

Large cost difference between 2 prevailing interventions

2. Organizing Research


Starting your research project1

2. Organizing Research

Starting your Research Project

  • You have to be familiar with the boundary of knowledge on the subject

  • To do this you have to first perform a systematic review of the subject (i.e. thorough review of the literature)


Research is an iterative process

2. Organizing Research

Research is an Iterative Process


Support

Support

Collaborate with other residents / medical students

2. Organizing Research


Initial groundwork for research question formulation

Initial Groundwork for Research Question Formulation

Plausibility

Feasibility

Support

Resources

2. Organizing Research


Plausibility

Plausibility

Is the question answerable?

Must have a thorough understanding of the anatomy, biology, physiology and prevalence of the problem

2. Organizing Research


Plausibility example

2. Organizing Research

Plausibility Example

  • It is not plausible to examine the outcomes of reconstruction of the congenitally absent ear in a RCT comparing the Nagata technique with the “genetic engineering method”

  • The genetic engineering methods are not advanced at this point in time to regenerate an acceptable ear


Feasibility

Feasibility

Whether the study design we choose is one that can potentially answer the research question

Best study design depends on the question being asked

2. Organizing Research


Feasibility example

Feasibility Example

Research Question:

Is the supramicrosurgical reconstruction with a periumbilical abdominal flap is superior to the deep inferior epigastric perforator (DIEP) flap in breast reconstruction ?

Possible barriers:

We don’t know how to transfer a flap with a 0.8 mm luminal diameter of the vascular pedicle

We don’t have the required instruments

QOL scales may not be sensitive enough

2. Organizing Research


Feasibility1

Feasibility

Choosing a Study Design

Simple Studies (i.e. Case series, Cohort)

If little is known on the topic, or there are big gaps in knowledge

RCT

When a novel surgical technique entered the main stream of surgery and challenges a prevailing one

2. Organizing Research


Feasibility example1

2. Organizing Research

Feasibility Example

Research Design:

  • RCT to determine whether smoking affects the short-term survival of replanted digits

    Barriers:

  • Ethically, we cannot randomize patients to either Group A: continue smoking or Group B: non-smoking after replantation of digits.

  • For questions of harm, appropriate study designs include case-control studies and cohort studies


Feasibility example2

Feasibility – Example

Research Design:

RCT comparing the use of intermittent lower extremity pump vs. low molecular heparin in preventing fatal pulmonary embolism in cosmetic abdominoplasty.

Possible Barriers:

Fatal pulmonary embolism in cosmetic abdominoplasty is a very rare event.

As the frequency of the ‘end points” is a critical factor in the sample size calculation, the rarity of the target event means that the investigator will require a sample size measured in thousands of patients!

2. Organizing Research


Resources1

Resources

Financial resources

Think of the budget and the details that go with that!

Choose a supervisor who has research coordinator support

2. Organizing Research


Forming the research question

2. Organizing Research

Forming the Research Question

  • You have an idea, the necessary support and resources now you need to transform your research idea into a well built clinical question


Background questions

2. Organizing Research

Background Questions

  • Ask for general knowledge about a surgery problem

  • Have two essential components:

    • A question root (who, what, where, when, how, why) with a verb

    • A disorder, or an aspect of a disorder

      i.e. What complications can occur with the ECTR?


Foreground questions

2. Organizing Research

Foreground Questions

  • Ask for specific knowledge about managing patients with a surgery problem

    5 essential components:

    Patient or problem

    Intervention

    Comparison intervention (if relevant)

    Outcomes

    Time


Well built clinical question

2. Organizing Research

Well Built Clinical Question

  • Population (patient)

  • Intervention

  • Comparison (this is optional)

  • Outcome

  • Time Horizon


Population patients

2. Organizing Research

Population (Patients)

  • How would I describe a group of patients similar to mine?

    • Be brief and precise

      i.e. All patients with clinical evidence of carpal tunnel syndrome confirmed with EMG and nerve conduction study


Intervention

2. Organizing Research

Intervention

  • Which main intervention, prognostic factor or exposure am I considering?

    • Be specific

      i.e. In ECTR, the Agee or the Chow technique or extrabursal or intrabursal


Comparative intervention

2. Organizing Research

Comparative Intervention

  • What is the main alternative to compare with the intervention?

    • Be specific

      i.e. In OCTR, short incisions and long incisions, as these incisions allow one to visualize the median nerve


Outcome

2. Organizing Research

Outcome

  • What can I hope to accomplish, measure, improve or affect?

    • Be specific

      i.e.

    • Pain control

    • Return to work, ADL

    • Improve Quality of Life (QOL)

    • Quality Adjusted Life Years (QALYs)


Outcomes

2. Organizing Research

Outcomes

  • How will you measure them?

  • Who will measure them (think of bias introduction)

  • How often will you measure them?


Time horizon

2. Organizing Research

Time Horizon

  • Appropriate time to measure outcome

    • 1 month post-op

    • 6 months post-op

    • 1 year post-op

    • Long term >5 years

    • For the patient’s life?

  • Short, intermediate, long term follow-up


  • Time horizon1

    2. Organizing Research

    Time Horizon

    Example:

    • Population --- chronic osteomyelitis of tibia patients

    • Intervention ---free muscle flap

    • Comparison --- free cutaneous flap

    • Outcome ---no drainage of pus from tibia

    • Time Horizon --- 2 years


    Framing the clinical problem

    2. Organizing Research

    Framing the Clinical Problem


    3 timeline for completion

    3. Timeline for Completion


    Research timeline

    3. Timeline

    Research Timeline

    Formulation of Research Question & Study Protocol Development

    Patient Recruitment; Data Collection

    Data Analysis

    Manuscript Writing

    Present at Peer-Reviewed Meetings

    4 Months

    8 Months

    1 Month

    2 Months


    Time management

    3. Timeline

    Time Management

    • Set a realistic goal for completion!

    • The onus is on YOU!


    Time management1

    Time Management!

    The most important element of time management for academic success is setting aside time for your project

    3. Timeline


    Communication issues

    3. Timeline

    Communication Issues

    • You have to communicate and negotiate with onsite clinical supervisor ahead of time the time required off your clinical duties to perform your research project

    • Need clear contract and understanding organized ahead of time


    4 tips for success

    4. Tips for Success


    Your success

    4. Tips

    Your Success

    • Keep up the momentum!

    • Report progress weekly to your supervisor

    • The onus is on you to keep the project going


    Exercise

    Exercise

    Break into Groups by specialty

    Design a clinically important research project in your specialty (based on PICOT)


    Exercise1

    Exercise

    • Who will be your supervisor will be and why?

    • What study design will you use to answer your question?

    • Provide a detailed budget

    • Discuss the feasibility of the project in a 5 year residency program

    • List 5 difficulties you will experience in executing the project


  • Login